Advanced Pathophysiology

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An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient.

Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.

An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

you will be assigned to a specific case study scenario for this Case Study Assignment.

Case: A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative.

Labs: CBC-WBC 18, Hgb 16, Hct 44, Plat 325, ­ Neuts & Lymphs, sed rate 46 mm/hr, C-reactive protein 67 mg/L CMP wnl

Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2

99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops. Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates copious foul-smelling green drainage with reddened cervix and + bilateral adenexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram negative diplococci.

Assignment (1-2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided:

1. The factors that affect fertility (STDs). ( The response accurately and thoroughly describes the patient symptoms. The response includes accurate, clear, and detailed explanations of the processes related to women’s and men’s health, infections, and hematologic disorders and is supported by evidence and/or research, as appropriate, to support the explanation.)

2. Why inflammatory markers rise in STD/PID. ( The response includes an accurate, complete, detailed, and specific analysis of the concepts and principles of pathophysiology across the life span and is supported by evidence and/or research, as appropriate, to support the explanation.)

3. Why prostatitis and infection happens. Also explain the causes of systemic reaction. ( The response includes an accurate, complete, detailed, and specific explanation of how the highlighted processes interact to affect the patient and is supported by evidence and/or research, as appropriate, to support the explanation)

4. Why a patient would need a splenectomy after a diagnosis of ITP. (The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation.)

Sample Solution

ollowing on from this, a subsequent key type of estrangement is the distance from work. For Marx, creation recognizes man from different creatures since “man through his own work … supports his own life and recreates society and the human species” (Pappenheim, 1967: 85). The industrialist cycle by which the laborer has no association with its item makes this type of estrangement. The worker has offered away his abilities as a trade off for a low pay as just a product. However, the worker has minimal other decision as this is his main opportunity of endurance in an industrialist state. To this end Marx requires the commotion of the class framework to be supplanted with a socialist state where work is esteemed as ‘life’s great need’ (Marx, 1891: 119). In setting of contemporary British legislative issues, Marx’s contention can be sabotaged by the declining size of the common laborers and more prominent relative power it has through worker’s organizations. In this manner, apparently Marx’s contentions are more vulnerable corresponding to current times yet it should be commended that they can in any case hold somewhat more than a century on.

This prompts a third type of estrangement is found in the distance of man from his ‘species-being’. A man’s animal categories being is portrayed by Marx as a man’s ‘inclination and his scholarly species-powers’ (Marx, 1844 refered to in Dale, 2016: 329). In easier words, our humankind. The course of work is fundamental to recognizing man from creature and for permitting people to become mindful (Sayers,1994). Where, in an entrepreneur society, work is sold as a ware rather than part of human undertaking ‘nature, is torn… ‘ from the specialists (Marx, 1844 refered to McLellan, 1978). Work turns out to be more like subjection and opportunity must be communicated at home (Pappenheim, 1967). This self-distance is found in entrepreneur social orders where work is paid by wage, given to laborers in quest for endurance rather than an outflow of information and abilities (Pappenheim, 1967). Free enterprise prevails with regards to estranging specialists from their human potential to the degree they become neglectful of it. This is the place where Marx anticipated that specialists become mindful and topple the bourgeoisie class. A critical study to this thinking is that in the years since his compositions, private enterprise has stayed predominant and has become to a great extent acknowledged in the Western powers.

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